Gala Health Reviews: NAD+ and Sermorelin at $199 a Month

The one-sentence version

Gala Health, which brands itself Gala GLP-1, built its name on compounded weight-loss medication. It now also sells a small longevity line: NAD+ and sermorelin injections, each "$199/month" for a 28-day supply, with the provider visit and shipping included and "Cancel anytime" printed beside the price³. That one clear price is the main reason it grades B, 10 points out of 14. What holds it back is that it names no pharmacy and publishes no ongoing support for the longevity line, and its refund policy keeps almost everything once you have paid. Gala is a partner here.

What it is, and who it's for

Gala is a telehealth operator with licensed providers in all 50 states, run by AI Coaching, Inc., with medical care delivered by "licensed physicians and clinicians affiliated with independently owned and operated medical practices, including OpenLoop-affiliated medical groups." Gala itself "provides administrative, technology, and management services and does not provide medical care."

The menu has three parts:

• •Longevity: NAD+ and sermorelin, both as injections you take at home. Sermorelin is described as "typically taken at bedtime five nights a week," with a built-in two-week break every six months.
• •Weight loss: compounded semaglutide and tirzepatide, and brand-name Ozempic.
• •Hormone health: estradiol pill or patch, progesterone, vaginal estradiol and non-hormonal options for menopause symptoms. What the trials show for those is in HRT, menopause and longevity.

The longevity line is two products. There is no glutathione, no other peptide and no lab panel. If you want a wider menu, start with what a longevity clinic actually costs.

What it actually costs

NAD+ and sermorelin. Each product page shows the same box: "FROM $199/month — 28-day supply, or $118/month on the 12-month plan. Charged at checkout — a licensed provider reviews before anything ships, and if they can't prescribe for you, you're refunded in full. Cancel anytime." Beneath it: "Provider visit included · Free shipping · Cancel anytime."³ There is no membership on top. That is one figure you can commit against before you start, which is what our rubric rewards.

Two things to understand about the $199. It buys a 28-day supply, and the page does not say whether refills are billed monthly or every 28 days. Billed every 28 days, a year is 13 charges rather than 12, or about $2,587 rather than $2,388. And it is a "from" figure, so ask whether your dose changes it.

The 12-month rate. $118 a month is a large discount, but it is a twelve-month commitment, and Gala's refund policy does not return money for canceled months (see below). Price it as a year paid, not a month.

How it ships. The first visit covers "up to a 3-month supply — one month plus two refills," with a short check-in every quarter before the next supply ships.

Weight loss, for reference. Compounded semaglutide is "from $129/mo" and tirzepatide "from $179/mo"; the homepage says "$179/mo all doses, no hidden fees," while its FAQ quotes GLP-1 medication "starting at just $199 per month (with a 3-month plan)." Brand Ozempic is "$1,299/month."²

Signing up, refunds and canceling

You answer an online intake of about five to seven minutes. A licensed provider reviews it asynchronously, with no video call, and either prescribes or follows up with a question. The medication ships to your door.

The refund terms are strict. Gala's cancellation and refund policy says⁴:

• •Cancel any time, with 72 hours' notice. Your request must arrive "at least 72 hours prior to your billing date," or the next charge goes through and the cancellation takes effect a cycle later.
• •No refund on cancellation. Apart from a medical disqualification, "IN NO EVENT SHALL YOU BE ISSUED A REFUND UPON CANCELLATION OF THE SUBSCRIPTION SERVICES."
• •Approved refunds cover one cycle. Where a refund is approved, it covers "your most recent billing cycle" only.

The product pages add one protection: if the provider cannot prescribe for you, you are refunded in full.

Who prescribes, and who fills it

The provider review is included, and that earns Gala its clinical-oversight points. Pharmacy is where it earns nothing. Asked which pharmacies it uses, Gala answers "we work with a wide network of pharmacies across all 50 states"², with no name, no address and no 503A or 503B classification. These are compounded medications, and compounded drugs are not FDA-approved; FDA does not verify their safety, effectiveness or quality before they are sold¹.

What the medicine can and can't do

Gala's longevity pages are fairly restrained. They describe NAD+ as a coenzyme whose levels "decline substantially with age" and say plainly that "there's no clinical trial for this compound bundle to cite." That is the honest position. No completed human trial shows NAD+ injections slow aging, and sermorelin raises growth hormone without clear benefits for healthy adults. Read NAD+ for longevity and sermorelin for longevity before you start.

The weight-loss side is where the evidence is strongest, and also where Gala stretches it. Its homepage stat block reads "20% weight loss in 6 months." In the large tirzepatide trials, average losses near 20% came on the highest dose after about seventeen months, not six. See GLP-1s for longevity and what's proven versus hyped.

Where it's weak, and who should skip it

• •Skip it if you want your pharmacy named. Gala names none.
• •Budget for 28-day refills. Ask how often you will be billed before you start.
• •Treat canceled months as spent. Canceling stops future charges, but nothing paid comes back except on a medical disqualification.
• •Look elsewhere for a wider longevity menu. NAD+ and sermorelin are the whole line.

The verdict, against the rubric

Our rubric scores five things out of 14: price transparency (4), a genuine longevity line (4), clinical oversight (2), pharmacy disclosure (2) and human support (2). Gala takes all four for price transparency: $199 a month, published before you commit, with the visit and shipping inside it. It takes all four for its longevity line, since NAD+ and sermorelin are exactly what this site ranks, and two for clinical oversight, with the provider visit included. It takes zero for pharmacy, because "a wide network" names no facility and states no standard, and zero for human support, because the longevity pages publish a quarterly check-in rather than ongoing clinical support inside the price. Ten out of fourteen: a B.

Naming its pharmacies would lift it to eleven and into the A band. Compare it with the Luvo Health review, which charges the same $199 for four weeks and names its pharmacies, and the bmiMD review, which sells NAD+ at $159 month to month. The full field is at our provider rankings, and the scoring is set out in how we grade.